245238 5 /13/2015 CITY OF CARMEL, INDIANA VENDOR: 369360
ONE CIVIC SQUARE PIPELANDER LLC CHECK AMOUNT: $"***'"162.20*
s9 ia; CARMEL, INDIANA 46032 I TERGRE CTA E CHECK NUMBER: 245238
E
y�ioN CHECK DATE: 05/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 3204 162.20 REPAIR PARTS
PipeLander, LLC Invoice
4 Wintergreen Lane
East Granby, CT 06026 Date Invoice#
5/4/2015 3204
Bill To Ship To
City of Carmel Fire Department Neil Reeves
Attention: Denise Snyder 11969 Brocket Circle
2 Civic Street Noblesville,IN 46060
Carmel,IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
MB 5/4/2015 US Mail
Quantity Item Code Description Price Each Amount
Gibson,Poly Gibson,poly 165.00 165.00T
Discount -10.00 -10.00
Shipping and Han... 7.20 7.20
Subtotal USD 162.20
Sales Tax (0.0%) USD 0.00
Total USD 162.20
Phone# E-mail Web Site
(860)682-5933 sales@pipelander.com www.pipelander.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
PipeLander LLC
IN SUM OF$
4 Wintergreen Lane
East Granby, CT 06026
$162.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 3204 42-370.00 $162.20 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
MAY 205
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours,rate per hour, number of units, price per unit, etc.
r
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
3204 Reed-for Reeves Bagpipe $162.20
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer